Evidence map›Paper›PMID 29648962›Full record

ArticleJournal of health communication2018

Communication of Scientific Uncertainty about a Novel Pandemic Health Threat: Ambiguity Aversion and Its Mechanisms.

Paul K J Han, Brian J Zikmund-Fisher, Christine W Duarte, Megan Knaus, Adam Black, Aaron M Scherer, Angela Fagerlin

Abstract readComparative Study
In one paragraph

Article in Journal of health communication, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed.

  1. Trial
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  4. Article
  5. How Are Perceived Ambiguity and Risk Beliefs Related? Evidence From Longitudinal and Daily Diary Data.Risk analysis : an official publication of the Society for Risk Analysis · 2026
    Article
  6. Article
  7. Impact of COVID-19 on Mental Health: Sociodemographic Differences and the Moderating Effect of Religiosity.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Uncertainty communication, trust and health promotion.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Article
  10. Article
  11. Article
  12. Communicating scientific uncertainty in the early stages of the COVID-19 pandemic: A message experiment.Risk analysis : an official publication of the Society for Risk Analysis · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. The perceived long-term impact of COVID-19 on OCD symptomology.Journal of obsessive-compulsive and related disorders · 2023
    Article
  17. Decisions about adopting novel COVID-19 vaccines among White adults in a rural state, USA: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Paul K J Hana Center for Outcomes Research and Evaluation , Maine Medical Center Research Institute , Portland , ME , USA.ORCID 0000-0003-0165-1940
Brian J Zikmund-Fisherb Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA.
Christine W Duartea Center for Outcomes Research and Evaluation , Maine Medical Center Research Institute , Portland , ME , USA.
Megan Knausb Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA.
Adam Blacka Center for Outcomes Research and Evaluation , Maine Medical Center Research Institute , Portland , ME , USA.
Aaron M Schererc Division of General Internal Medicine , University of Iowa Carver College of Medicine , Iowa City , IA , USA.
Angela Fagerlind Department of Population Health Sciences , University of Utah and Salt Lake City VA Center for Informatics Decision Enhancement and Surveillance , Salt Lake City , UT , USA.

Funding

Understanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI Brenda Morissette Joly · 2017 to 2026
$51.6M
The role of night shift work in metabolic disorders during and after pregnancyP20GM121301 · NIGMS · MAINEHEALTH · PI Elizabeth Scharnetzki · 2017 to 2026
$25.1M
NIGMS NIH HHS P20 GM121301NIGMS NIH HHS U54 GM115516
6 · The paper itself

Abstract

Communicating scientific uncertainty about public health threats is ethically desirable but challenging due to its tendency to promote avoidance of choice options with unknown probabilities-a phenomenon known as "ambiguity aversion." This study examined this phenomenon's potential magnitude, its responses to different communication strategies, and its mechanisms. In a factorial experiment, 2701 adult laypersons in Spain read one of three versions of a hypothetical newspaper article describing a pandemic vaccine-preventable disease (VPD), but varying in scientific uncertainty about VPD risk and vaccine effectiveness: No-Uncertainty, Uncertainty, and Normalized-Uncertainty (emphasizing its expected nature). Vaccination intentions were lower for the Uncertainty and Normalized-Uncertainty groups compared to the No-Uncertainty group, consistent with ambiguity aversion; Uncertainty and Normalized-Uncertainty groups did not differ. Ambiguity-averse responses were moderated by health literacy and mediated by perceptions of vaccine effectiveness, VPD likelihood, and VPD severity. Communicating scientific uncertainty about public health threats warrants caution and further research to elucidate its outcomes, mechanisms, and management.

Indexed as

CommunicationHealth Knowledge, Attitudes, PracticeHealth LiteracyAdolescentAdultAgedAnalysis of VarianceFemaleHumansInfluenza A Virus, H7N3 SubtypeInfluenza, HumanMaleMiddle AgedPandemicsRandom AllocationRiskVaccines

Identifiers

PMID29648962
PMCPMC6029253

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.